| National Provider Identifier [NPI]: | 1831118744 |
| Last Name Of The Provider | NYE |
| First Name Of The Provider | PETER |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3264 N EVERGREEN DR NE |
| Street Address 2 Of The Provider | |
| City Of The Provider | GRAND RAPIDS |
| Zip Code Of The Provider | 495259746 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 137 |
| Number Of Services | 5908 |
| Number Of Medicare Beneficiaries | 4448 |
| Total Submitted Charge Amount | 420663 |
| Total Medicare Allowed Amount | 110009.66 |
| Total Medicare Payment Amount | 81365.9 |
| Total Medicare Standardized Payment Amount | 84318.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 137 |
| Number Of Medical Services | 5908 |
| Number Of Medicare Beneficiaries With Medical Services | 4448 |
| Total Medical Submitted Charge Amount | 420663 |
| Total Medical Medicare Allowed Amount | 110009.66 |
| Total Medical Medicare Payment Amount | 81365.9 |
| Total Medical Medicare Standardized Payment Amount | 84318.64 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1227 |
| Number Of Beneficiaries Age 65 to 74 | 1280 |
| Number Of Beneficiaries Age 75 to 84 | 1176 |
| Number Of Beneficiaries Age Greater 84 | 765 |
| Number Of Female Beneficiaries | 2522 |
| Number Of Male Beneficiaries | 1926 |
| Number Of Non Hispanic White Beneficiaries | 3858 |
| Number Of Black or African American Beneficiaries | 351 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 134 |
| Number Of American Indian Alaska Native Beneficiaries | 24 |
| Number Of Beneficiaries With Race Not Else where Classified | 45 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2959 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1489 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.7886 |